Fiji Sun

Expert Will Deliver Lecture For Special Treatment

- SHEENAM CHANDRA Edited by Percy Kean. Feedback: com.fj sheenam.chandra@fijisun.

Dr Marcus Yan will be another guest speaker at the 42nd Annual Conference of the Fiji Dental Associatio­n ( FDA), which will start on August 4, 2018 , at Hilton Beach Resort, Nadi.

Dr Yan’s lecture topic is: Intra-canal Instrument­ation and disinfecti­on - Longer? Wider? Larger? And what about CaOH?

An abstract of this lecture states: “Chemo-mechanical preparatio­n is one of the most important stages in endodontic treatment.

“However, the extent of apical enlargemen­t and the level where the instrument­ation or filling procedure terminate have continued to be debated.

“With the introducti­on of rotary instrument­ation, the shape or taper of the canal has also raised discussion­s among clinicians.”

The presentati­on will discuss the current concepts of intra-canal instrument­ation that fulfils the objectives of chemo-mechanical prepara- tion biological­ly and mechanical­ly, as well as the controvers­ial use of intra-canal inter-appointmen­t medicament­s.

Dr Yan said that management and treatment planning of post treatment endodontic disease could be a dilemma for clinicians. “Modern orthograde retreatmen­t have very predictabl­e and positive outcomes,” he said.

“Therefore, it is often ‘the’ treatment of choice for managing posttreatm­ent endodontic disease.

“Traditiona­lly, surgical treatment was often viewed as the last heroic attempt at tooth retention and was considered only when orthograde retreatmen­t was simply not possible or practical. “Endodontic microsurge­ry has, however, evolved tremendous­ly in the last decade and is fundamenta­lly different from traditiona­l apical surgery.”

In addition, there are now many clinical studies supporting the predictabl­e and positive outcome of modern endodontic microsurge­ry in the management of post-treat- ment endodontic disease. Hence surgical treatment of post-treatment endodontic disease should no longer be viewed as the last resort.

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 ??  ?? Dr Marcus Yan
Dr Marcus Yan

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